Connor Green, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6253 Issued in OR

Practice address

202 Lister St
Cave Junction, OR 97523-9047

Phone

(541) 592-6220

NPI assigned

Oct 21, 2022

Last updated

Oct 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Total Performance Sports Medicine PCGroup PAC ID 4789730730, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Total Performance Sports Medicine, PC

  • Chiropractor
  • Grants Pass, OR
  • NPI 1750614749
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1558088450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 774",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975280066",
            "telephone_number": "541-476-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 LISTER ST",
            "city": "CAVE JUNCTION",
            "state": "OR",
            "postal_code": "975239047",
            "telephone_number": "541-592-6220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1328 NW 6th St",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975261255",
            "country_code": "US",
            "telephone_number": "541-476-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CONNOR",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Fogler, LMT
• Jennifer Jane Folkerts, LAC
• Samantha Gaffney, DMD
• Ronald D Gardner, PSYD
• Rachel Goodman, L.M.T.
• Sharon Guest, PTA
• Healthy U
• Brooks Anthony Hunsaker, DMD
• Illinois Valley Family Coalition
• Inspire Wellness Counseling

• Chiropractor in Cave Junction, OR
• Providers in Cave Junction, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.